CLINICAL AND RADIOLOGICAL ASSESSMENT OF PATIENTS WITH INTERTROCHANTERIC FRACTURES MANAGED WITH PROXIMAL FEMORAL NAIL WITH HELICAL BLADE

Abstract

Various treatment methods have been described for the treatment of intertrochanteric fractures. We present our experience with proximal femoral nail with helical blade in the management of intertrochanteric fractures at SGT Medical College Hospital and Research Institute, Gurugram. Methods: This study was conducted from October 2018 to April 2020 and included 30 patients above 18 years presenting with intertrochanteric fractures of femur managed by proximal femoral nail with helical blade. Clinical and Radiological evaluation of the patients was done at 6,12,18 and 24 weeks. Functional outcome was assessed according to Modied Harris Hip Score and was graded excellent, good, fair or pair as per the score. Results: The average age of patients in the present study was 58.16 years with slight male preponderance. The average operating time in the present study was 71.8 minutes. The average time of union was 18 weeks, with one case of implant failure and two cases of delayed union. average value of Neck-Shaft Angle in our study was 128.26 and the average Tip-Apex Distance (TAD) was 21.63mm. There was a case each of supercial infection and varus collapse. The average Modied Harris Hip score in present study was 90.5 with a range of 78-99, excellent in 63.33% patients, good in 26.66% of the patients and fair in 10% of the patients as per the Modied Harris Hip scoring system.